Republic of the Philippines

BUREAU OF FIRE PROTECTION

Region 1

Bids and Awards Committee

BFP Regional Office 1, Patac, Sto. Tomas, La Union

Tel. Nos. (072) 603-0097; Telefax No. (072) 687-0763

Email add: bacsecbfpr1@gmail.com or bacsecbfpr1@yahoo.com

Website: region1.bfp.gov.ph

INVITATION TO BID

The Bureau of Fire Protection Region 1 (BFP R-1) invites interested parties to submit bids for the

following under Bid No. 2016-09-21.

Item End-User Approved Budget

Procurement of Rescue

Equipment, CY 2016 BFP Region 1 Php 558,000.00

All bids are subject to the terms, conditions, and instructions of this invitation. Bids received in

excess of the ABC shall be automatically rejected at bid opening.

Required delivery date or expected contract duration is 30 calendar days upon receipt of Notice to

Proceed or as indicated in the attached bid form.

Bidding will be conducted through open competitive bidding procedures using a non-discretionary

“pass/fail” criterion as specified in the Revised Implementing Rules and Regulations (IRR) of Republic

Act (RA) 9184, otherwise known as the “Government Procurement Reform Act”.

Bidders should have completed, within TWO (2) years from the date of submission and receipt of bids,

a contract similar to the Project. Reputable and bona fide bidders should secure bid documents and

the checklist of qualification requirements from the Bids and Awards Committee Secretariat Office

or may download them either from BFP Region 1 website (region1.bfp.gov.ph) or PhilGEPS

(https://www.philgeps.gov.ph/GEPS). A nonrefundable bidding fee of P1,000.00 shall be collected

from the bidder payable upon securing of documents from BAC-Sec Office or on the day of

submission/opening of bids. Soft copy of the bid form may be requested through

bacsecbfpr1@gmail.com or bacsecbfpr1@yahoo.com.

SCHEDULE OF ACTIVITIES DATE/TIME PLACE

1. Issuance of Bid Documents Starts Oct. 17, 2016 / 9:00 A.M.

to 4:30 P.M.

BAC Secretariat Office 2. Pre-Bid Conference -

3. Submission of Bids Oct. 24, 2016 / 9:00 A.M.

4. Opening of Bids Oct. 24, 2016 / 10:00 A.M.

Bids will be opened in the presence of bidders’ representatives who choose to attend the bidding.

Late bids shall not be accepted.

The Bureau of Fire Protection Region 1 asumes no responsibility whatsoever to compensate or

indemnify bidders for any expenses incurred in the preparation of their bids.

The Bureau of Fire Protection Region 1 reserves the right to accept or reject any bid, to annul the

bidding process, and to reject all bids at any time prior to contract award, without thereby incurring

any liability to the affected bidder or bidders.

SIGNED

SUPT ERNESTO F GANDIA

Chairperson, BAC

INSTRUCTIONS TO BIDDERS

1. PREPARATION OF BIDS

A. Language of Bid

The bid, as well as all correspondence and documents relating to the bid exchanged by

the Bidder and the Procuring Entity, shall be written in English. Supporting documents

and printed literature furnished by the Bidder may be in another language provided they

are accompanied by an accurate translation in English certified by the appropriate

embassy or consulate in the Philippines, in which case the English translation shall

govern for purposes of interpretation of the bid.

B. Documents Comprising the Bid:

During the opening of bids, bidders shall submit two (2) legal size envelopes. The first

envelope (Brown legal size envelope) shall contain the following eligibility and technical

documents:

B. 1. Eligibility Documents

Class “A” Documents:

a. Registration certificate from the Securities and Exchange Commission (SEC),

Department of Trade and Industry (DTI) for sole proprietorship, or Cooperative

Development Authority (CDA) for cooperatives, or any proof of such registration;

b. Mayor’s permit issued by the city or municipality where the principal place of

business of the prospective bidder is located;

c. Statement of all its ongoing and completed government and private contracts

within two years, including contracts awarded but not yet started, if any, or a single

contract that is, equivalent to at least fifty percent (50%) of the ABC within two (2)

years from the date of submission and receipt of bids a. The statement shall include,

for each contract, the following: name of the contract; date of the contract; kinds of

Goods; amount of contract and value of outstanding contracts; date of delivery; and

end-user’s acceptance or official receipt(s) issued for the contract, if completed;

d. Audited financial statements, stamped “received” by the Bureau of Internal

Revenue (BIR) or its duly accredited and authorized institutions, for the preceding

calendar year, which should not be earlier than two (2) years from bid submission;

e. Tax Clearance per Executive Order 398, Series of 2005; as finally reviewed and

approved by the BIR; valid up to the date of the opening of the bids;

f. NFCC computation or CLC;

Or

f. Certificate of Submission of Eligibility Requirements (For Supplies) - If a Bidder has

previously secured a certification from the Bureau of Fire Protection Region 1 (BFP

R-1) to the effect that it has previously submitted the above-enumerated Class “A”

Documents. The said certification may be submitted in lieu of the requirements

enumerated above.

And

Class “B” Document:

g. If applicable, the Joint Venture Agreement in case the joint venture is already in

existence, or duly notarized statements from all the potential joint venture partners

stating that they will enter into and abide by the provisions of the JVA in the

instance that the bid is successful .

B. 2. Technical Documents

h. Bid security (original copy and two (2) photocopies of the official receipt)

i. Authority of signatory/representative (if the person attending the public bidding is

not the owner or president of the company)

j. Any other document related to the financial component of the bid such as

brochures/manuals/illustration/catalogues/literatures/plan/certification/ warranty/

samples (if applicable) -2 copies each, indicate Lot No. and Item No., company name

The second envelope (Brown legal size envelope) or financial component of the bid shall

contain the following:

a. The duly accomplished Financial Bid Form showing the price quotation. All bids

that exceed the ABC shall not be accepted.

If the first envelope lacks the above stated requirements, the second envelope will be

returned to the bidder unopened. Necessary documents such as brochures, catalogues,

illustrations, etc. should be provided and labeled properly. Bidders submitting incomplete

bid documents will be disqualified. The bid must be legibly written in the prescribed Bidder’s

Tender Form. In case the bid is illegible, the determination of the BAC will be final. All

erasures shall be countersigned. The bid form must be fully accomplished. For common

items in several lots, the price quotation for such items should be consistent. If an item is

not available, please type “NA”. Technical specifications (e.g. brand, model no., dimensions,

country of origin, etc.) must be written in the bid form even if it is of the same specification

stated in the item description. Using statements such as “As Specification/ Requirement"

should be avoided. No entry should be left blank. In case of discrepancy between amount in

figures and amount in words, the latter will prevail.

C. Alternative Bids

Alternative Bids shall be rejected. For this purpose, alternative bid is an offer made

by a Bidder in addition or as a substitute to its original bid which may be included as

part of its original bid or submitted separately therewith for purposes of bidding. A

bid with options is considered an alternative bid regardless of whether said bid

proposal is contained in a single envelope or submitted in two (2) or more separate

bid envelopes.

D. Bid Prices

The Bidder shall complete the appropriate Price Schedules included herein, stating

the unit prices, total price per item, the total amount and the expected countries of

origin of the Goods to be supplied under this Project.

The Bidder shall fill in rates and prices for all items of the Goods described in the Bill

of Quantities. Bids not addressing or providing all of the required items in the

Bidding Documents including, where applicable, Bill of Quantities, shall be

considered non-responsive and, thus, automatically disqualified. In this regard,

where a required item is provided, but no price is indicated, the same shall be

considered as non-responsive, but specifying a "0" (zero) for the said item would

mean that it is being offered for free to the Government.

Prices quoted by the Bidder shall be fixed during the Bidder’s performance of the

contract and not subject to variation or price escalation on any account. A bid

submitted with an adjustable price quotation shall be treated as non-responsive and

shall be rejected.

E. Bid Currencies

Prices shall be quoted in Philippine Pesos.

F. Bid Validity

Bids shall remain valid for and shall not exceed one hundred twenty (120) calendar

days from the date of the opening of bids.

G. Bid Security

Bidders are required to submit a bid bond** which is in the same currency as the bid

in the amount stated below:

Form of Bid Security Amount of Bid Security (Equal to

Percentage of the ABC)

Cash or cashier’s/manager’s check issued

by a Universal or Commercial Bank.

Two percent (2%)

Bank draft/guarantee or irrevocable letter

of credit issued by a Universal or

Commercial Bank: Provided, however,

that it shall be confirmed or

authenticated by a Universal or

Commercial Bank, if issued by a foreign

bank.

Surety bond callable upon demand issued

by a surety or insurance company duly

certified by the Insurance Commission as

authorized to issue such security.

Five percent (5%)

Any combination of the foregoing. Proportionate to share of form with

respect to total amount of security

Bid Securing Declaration No percentage required

Bidders shall pay directly to the Cashier’s Office the required bid amount before the opening of bids.

The original receipt together with a photocopy of it shall be included in the first envelope. After the

opening of bids the original copy of the receipt shall be returned to the bidder.

**The required amount of bid bond shall be 2% or 5% of the approved budget for the entirety of

the lot/s being bid on, whether or not the bidder intends to bid for all items in such lot/s. Hence, if a

bidder intends to bid for only 1 item in a lot of 3 items, he will still have to submit a bid bond based

on all 3 items in the lot. The equivalent bid bond/s for all lots being bid on are then summed up to

get the total bid bond that needs to be posted by the bidder, duly reflected in the corresponding

summary sheet for computation of bid bond and enclosed in the technical envelope.

Example: Lot

#

Item

#

End-User Qty UOM Item

Description

Estimated

Unit Cost

Estimated

Total Cost

Requires

Brochure/

Manual?

Specifications

Offered by

the Bidder

Unit

Cost

Total

Cost

1 1 A Fire

Station

1 unit Xxx 20,000.00 20,000.00 Yes NA

2 2 units Yyy 20,000.00 40,000.00 Yes NA 15,800.00 31,600.00

3 1 unit Zzz 20,000.00 20,000.00 Yes NA

PR #

=

2015-12-

08

Approved

Budget = 80,000

Total

Bid = 31,600.00

Bid Bond for Lot # 1 is 2% of Approved Budget = 2% of P80,000.00= P1,600.00

If posted in the form of Cashier’s/Manager’s Check, the bid bond shall be in the name of Bureau

of Fire Protection Region 1 must be issued by a bank which has branches in La Union. No bid

securities shall be returned to bidders after the opening of bids and before contract signing,

except to those that failed or declared as post-disqualified, upon submission of a written waiver

of their right to file a motion for reconsideration and/or protest. Without prejudice on its

forfeiture, bid securities shall be returned only after the bidder with the Lowest Calculated and

Responsive Bid has signed the contract and furnished the performance security, but in no case

later than the expiration of the bid security validity period.

H. Format and Signing of Bids

Bidders shall submit their bids through their duly authorized representative using

the appropriate forms on or before the deadline specified in the invitation in two (2)

separate sealed bid envelopes, and which shall be submitted simultaneously.

Forms must be completed without any alterations to their format, and no substitute

form shall be accepted. All blank spaces shall be filled in with the information

requested.

The Bidder shall prepare and submit an original of the first and second envelopes.

The bidder or his duly authorized representative must sign all pages of the bid

documents. Affix the complete signature, not initials, on all pages.

I. Sealing and Marking of Bids

Bidders shall enclose their original eligibility and technical documents in one sealed

envelope marked “ORIGINAL - TECHNICAL COMPONENT”, and the original of their

financial component in another sealed envelope marked “ORIGINAL - FINANCIAL

COMPONENT”, sealing them all in an outer envelope marked “ORIGINAL BID”.

All envelopes shall bear the following information:

a. Title of the bid in capital letters; date of submission/ opening of bids;

b. Name and address of the Bidder in capital letters;

c. Must be addressed to the Chair, BAC, BFP Region 1;

d. Specific identification of this bidding process ; and

e. written warning “DO NOT OPEN BEFORE…” the date and time for the opening of

bids,

If bids are not sealed and marked as required, the Procuring Entity will assume no

responsibility for the misplacement or premature opening of the bid.

2. DEADLINE FOR SUBMISSION OF BIDS

Bids must be received by the Procuring Entity’s BAC at the address and on or before the date

and time indicated in the invitation. In case the bidder does not intend to witness the

opening of bids, he may submit the first and second envelopes before bid opening at the

BAC Secretariat Office, making sure that both envelopes are sealed and signed across the

envelope flaps. These envelopes shall be stamped received by the BAC Secretariat indicating

date and time submitted and name of company representative who submitted the bid

documents.

3. LATE BIDS

Any bid submitted after the deadline for submission and receipt of bids prescribed by the

Procuring Entity, shall be declared “Late” and shall not be accepted by the Procuring Entity.

4. MODIFICATION AND WITHDRAWAL OF BIDS

A bidder may modify its bid, provided that this is done before the deadline for the

submission and receipt of bids. A bidder shall not be allowed to retrieve its original bid, but

shall only be allowed to send another bid equally sealed, properly identified, linked to its

original bid and marked as a “modification” and stamped “received” by the BAC. Bid

modifications received after the applicable deadline shall not be considered and shall be

returned to the Bidder unopened.

A bidder may, through a letter, withdraw its bid before the deadline for the receipt of bids.

No bid may be withdrawn in the interval between the deadline for submission of bids and

the expiration of the period of bid validity specified by the Bidder on the Financial Bid Form.

Withdrawal of a bid during this interval shall result in the forfeiture of the Bidder’s bid

security. Withdrawal of bids after the applicable deadline shall be subject to appropriate

sanctions as prescribed in the implementing guidelines of the R.A. 9184.

5. EVALUATION AND COMPARISON OF BIDS

Any effort by a bidder to influence the Procuring Entity in the Procuring Entity’s decision in

respect of bid evaluation, bid comparison or contract award will result in the rejection of the

Bidder’s bid.

Criteria For Evaluation

a. Completeness and compliance/conformity of the submitted bid documents

including necessary supporting documents such as brochures, certificates,

catalogue, illustrations, etc.

b. Responsiveness of bids to the tender documents based among other

considerations, on the following:

• The bid offer

• Quality, sufficiency and necessity of product/service being offered

• Compliance with government regulations

• Background, past performance and number of years in the industry (at least two

years) of the bidders.

Per Lot Bidding

The bids will be evaluated on a per lot basis. In case no qualified bid for the lot is

received, the bids will be evaluated on per item basis.

Among per lot bids, the bidder who submits the lowest responsive bid shall be

awarded the contract. A bidder who separately submits bids for both the lot and for

some (but not all) individual items in the same lot shall be deemed to have

submitted only the per lot bid. On the other hand, should a bidder submit two

separate bids with different amounts, one for the lot and the other for all individual

items within the same lot, he shall be deemed to have submitted a per lot bid

equivalent to the lower amount between the lot bid so submitted and the sum of all

individual item bids made for the said lot.

Items bid out per lot shall be awarded to the winning bidder under only one (1)

contract for the entire lot. The bidder is warned that violation of any bidding rule

with respect to an item in the lot shall be deemed a violation of the terms pertaining

to the entire lot.

The Bureau reserves the right to make the appropriate determination of preference

among bids as may best suit its purposes.

Bids shall be evaluated on an equal footing to ensure fair competition. For this

purpose, all bidders shall be required to include in their bids the cost of all taxes,

such as, but not limited to, value added tax (VAT), income tax, local taxes, and other

fiscal levies and duties which shall be itemized in the bid form and reflected in the

detailed estimates. Such bids, including said taxes, shall be the basis for bid

evaluation and comparison. Prices being offered are considered net and include

government taxes, import fees and/or duties, if any, and all incidental expenses,

including freight charge. The contractor shall certify and agree that, if for any reason

or another, it secures a waiver or refund of all or any portion of the said taxes, fees,

etc. the refund or waiver obtained shall be paid back to BFP Region 1.

6. POST QUALIFICATION

The Procuring Entity shall determine to its satisfaction whether the Bidder that is

evaluated as having submitted the Lowest Calculated Bid (LCB) complies with and is

responsive to all the requirements and conditions. The determination shall be based

upon an examination of the documentary evidence of the Bidder’s qualifications

submitted as well as other information as the Procuring Entity deems necessary and

appropriate, using a non-discretionary “pass/fail” criterion.

If the BAC determines that the Bidder with the Lowest Calculated Bid passes all the

criteria for post-qualification, it shall declare the said bid as the Lowest Calculated

Responsive Bid, and recommend to the Head of the Procuring Entity the award of

contract to the said Bidder at its submitted price or its calculated bid price,

whichever is lower. A negative determination shall result in rejection of the Bidder’s

Bid, in which event the Procuring Entity shall proceed to the next Lowest Calculated

Bid to make a similar determination of that Bidder’s capabilities to perform

satisfactorily. If the second Bidder, however, fails the post qualification, the

procedure for post qualification shall be repeated for the Bidder with the next

Lowest Calculated Bid, and so on until the Lowest Calculated Responsive Bid is

determined for contract award.

7. PERFORMANCE SECURITY

Upon award, the winning bidder is required to deposit a performance bond whose

form and amount are as follows:

Form of Performance Security

Amount of Performance Security (Equal

to Percentage of the Total Contract

Price)

Cash or cashier’s/manager’s check issued

by a Universal or Commercial Bank. Five percent (5%)

Bank draft/guarantee or irrevocable letter

of credit issued by a Universal or

Commercial Bank: Provided, however,

that it shall be confirmed or

authenticated by a Universal or

Commercial Bank, if issued by a foreign

bank.

Surety bond callable upon demand issued

by a surety or insurance company duly

certified by the Insurance Commission as

authorized to issue such security.

Thirty percent (30%)

Any combination of the foregoing. Proportionate to share of form with

respect to total amount of security

Proportionate to share of form with

respect to total amount of security

The performance bond shall be in the name of the Bureau of Fire Protection Region

1. Failure to post the performance bond within 10 days after receipt of the notice of

award shall mean a refusal to accept the order or contract which is sufficient cause

for the forfeiture of the bidder’s bond.

The supplier’s performance bond will be released in accordance with the provisions

of Act No. 9184 and subject to the provisions of the contract.

Failure of the successful Bidder to comply with the above-mentioned requirement

shall constitute sufficient ground for the annulment of the award and forfeiture of

the bid security, in which event the Procuring Entity shall initiate and complete the

post qualification of the second Lowest Calculated Bid. The procedure shall be

repeated until the LCRB is identified and selected for contract award. However if no

Bidder passed post-qualification, the BAC shall declare the bidding a failure and

conduct a re-bidding with re-advertisement.

SPECIAL PROVISIONS

The issuance of the prescribed bidding form mentioned herein shall not be construed as full and final

recognition of the bidder’s competence, nor shall any previous recognition of competence be

necessarily accepted without question for this particular bidding. The Bureau of Fire Protection

Region 1 reserves the right to review the competence and qualification of the bidders anytime

before the award of contract by further verification of the bidders’ pre-qualification documents, or

by any other satisfactory means. The competence of a bidder shall include adequate preparation of

the bid documents, financial ability to undertake proper and efficient performance of the services

and/or delivery of supplies or equipment for which the bids are submitted.

Revised Bid Form

Bid Form for the Public Bidding of : Procurement of Tires, CY 2016

For : BUREAU OF FIRE PROTECTION REGION 1

Date of Opening : September 19, 2016 (10:00 A.M.)

Lot

#

Item

#

End-

User Qty UOM Item Description

Estimated

Unit Cost

Estimated

Total Cost

Specifications Offered by the Bidder

(Please indicate the brand, model and

specifications of your offer. Also,

please provide brochures as

necessary)

Unit

Cost

Total Cost

1

1

BFP

Region

1

5 pcs Extrication Device 8,000.00 40,000.00

2 5 pcs Responder’s Kit 2,000.00 10,000.00

3 2 pcs Kernmantle Rope (100m), static

(12mm) 40,000.00 80,000.00

4 5 pcs Rescue Harness 8,000.00 40,000.00

5 20 pcs Sam Splints 500.00 10,000.00

6 20 pcs Carabiners, Large D, Alloy 2,200.00 44,000.00

7 5 pcs Fixed Pulley 3,000.00 15,000.00

8 5 pcs Twin Pulley 4,000.00 20,000.00

9 5 pcs Tandem Pulley 4,000.00 20,000.00

10 25 pcs Emergency Blankets 200.00 5,000.00

11 25 pcs Rappel Gloves 2,000.00 50,000.00

12 25 pcs Emergency Head Lamps 2,000.00 50,000.00

13 10 pcs Rescue Helmet 4,000.00 40,000.00

14 3 pcs Spine Board 7,000.00 21,000.00

15 3 pcs Scoop Stretcher 7,000.00 21,000.00

16 1 pc Vacuum Mattress 80,000.00 80,000.00

17 4 pcs Descender 1,500.00 6,000.00

18 3 pcs Rescue 8 Descender 2,000.00 6,000.00

PR # = 2016-09-21 Approved Budget (PhP) = 558,000.00 Total Bid =

Total Approved Budget for the Contract : PHP 558,000.00

Required Bid Bond : ________________________________________________________________________________________________________

Date of Delivery : thirty (30) calendar days from receipt of Notice to Proceed

Price Validity : 120 calendar days from bid opening

TOTAL BID PRICE (in figures) : ________________________________________________________________________________________________________

TOTAL BID PRICE (in words) : ________________________________________________________________________________________________________

Company Name : ________________________________________________________________________________________________________

Address : ________________________________________________________________________________________________________

Phone No. : ________________________________________________________________________________________________________

Fax No. : ________________________________________________________________________________________________________

E-mail Address : ________________________________________________________________________________________________________

Quoted by : ________________________________________________________________________________________________________

Printed Name Signature

RESCUE EQUIPMENT SPECIFICATIONS

1. Extrication Device • Ideal for extricating and immobilizing patients from auto accidents and

other confined spaces. The wrap-around design provides horizontal

flexibility for easy application and vertical rigidity for maximum support

of the spine, neck, and head during extrication.

• Immobilizes the torso, head and neck, enabling prompt extrication

while minimizing risks of further injury. X-rays or advanced life support

procedures can be performed with the extrication device in place.

Includes wrap-around vest, Adjust a-Pad neck roll, two head straps and

a carrying case.

2. Responder’s Kit • Large EMT First Responder Trauma Bag Medical Travel Emergency Aid

Kit

3. Kernmantle Rope • 100m, static (12mm)

4. Rescue Harness • Full Body harness, polyster, with 1pc rear D-ring, 3pcs waist D-ring,

Chest strap and thigh strap connected by carabiner. Comfort on back

• Strength:more than 23kn

5. Sam Splints • Standard (1121 & 1121F): 4.25" x 36"; 4 oz.; roll and flatfold

6. Carabiners • Large D, Alloy

7. Fixed Pulley • Lightweight, compact pulley, Material(s): aluminum side plates,

aluminum sheave

• Certification(s): CE EN 12278, UIAA

8. Twin Pulley • Rope compatibility: 7 to 13 mm,Sheave diameter: 51 mm, Ball bearings:

yes,

Efficiency: 97 %, Maximum working load: 2 x 3 kN x 2 = 12 kN, Weight: 450 g,

Certification(s): CE EN 12278, NFPA 1983 General Use

9. Tandem Pulley • Sheaves mounted on self-lubricating bushings for good efficiency,

Maximum allowable speed: 10 m/s, Attachment point accepts up to

three carabiners to facilitate use, Weight : 195 g, Max. rope diameter :

13 mm, Sheave diameter : 21 mm, Efficiency : 71 %, Working load : 10

kN, Breaking strength : 24 kN, Certification(s) : CE EN 12278, UIAA

10. Emergency Blankets • Size: 52” x 82.5” (132 x 210 cm) Weight: 1.5 oz. (42.5 g)

11. Rappel Gloves • Synthetic leather plam with yellow synthetic leather reinfoicement, EVA

padded, red spandex back with black neoprene knuckles, elastic cuff

with Velcro.

12. Emergency Head Lamps • HL22 120 Lumen Headlamp,

13. Helmet • Rescue Helmt, ABS Shell and expanded polysterene liner, sliding

ventilation slots, four clips for headlamp attachment

14. Spine Board • Made of PE material with no discharge contaminator, and firmness to

wear,it is allowed X-ray. Unfolded Size: 184 cm x 45 cm x 7 cm, Self-

Weight : 7.5 kg, Load Bearing : 159 kg

• With straps and spider strap

15. Scoop Stretcher • Aluminium scoop stretcher, X-ray translucent, Effective hook/unhook

device for stretcher parting, Adjustable length with automatic block,

Bag with n. 3 quick unhook safety belts for patient immobilization

• Capacity: about 170 Kg, Weight: about 10 Kg, Height: about 7 cm,

Width: about 43 cm, Minimum Length: about 167 cm

16. Vacuum Mattress • Restraints with buckles to provide maximum patient security

• With vacuum pump

17. Descender

18. Rescue 8 Descender

Bid-Securing Declaration

REPUBLIC OF THE PHILIPPINES )

CITY OF _______________________ ) S.S.

x-------------------------------------------------------x

BID-SECURING DECLARATION

Invitation to Bid/Request for Expression of Interest No.1 :[Insert reference number]

To: [Insert name and address of the Procuring Entity]

I/We2 , the undersigned, declare that:

1. I/We understand that, according to your conditions, bids must be supported by a Bid

Security, which may be in the form of a Bid-Securing Declaration.

2. I/We accept that: (a) I/we will be automatically disqualified from bidding for any contract

with any procuring entity for a period of two (2) years upon receipt of your Blacklisting

Order; and, (b) I/we will pay the applicable fine provided under Section 6 of the Guidelines

on the Use of Bid Securing Declaration3 , within fifteen (15) days from receipt of the written

demand by the procuring entity for the commission of acts resulting to the enforcement of

the bid securing declaration under Sections 23.1(b), 34.2, 40.1 and 69.1, except 69.1(f), of

the IRR of RA 9184; without prejudice to other legal action the government may undertake.

3. I/We understand that this Bid-Securing Declaration shall cease to be valid on the following

circumstances:

(a) Upon expiration of the bid validity period, or any extension thereof pursuant to

your request;

(b) I am/we are declared ineligible or post-disqualified upon receipt of your notice to

such effect, and (i) I/we failed to timely file a request for reconsideration or (ii) I/we

filed a waiver to avail of said right;

(c) I am/we are declared as the bidder with the Lowest Calculated and Responsive

Bid/Highest Rated and Responsive Bid4 , and I/we have furnished the performance

security and signed the Contract.

__________________________________________________________________________________

1 Select one and delete the other. 2 Select one and delete the other. Adopt same instruction for similar terms throughout the

document. 3 Issued by the GPPB through GPPB Resolution 03-2012 on 27 January 2012. 4 Select one and delete the other.

IN WITNESS WHEREOF, I/We have hereunto set my/our hand/s this ____ day of [month]

[year] at [place of execution].

[Insert NAME OF BIDDER’S AUTHORIZED REPRESENTATIVE]

[Insert signatory’s legal capacity]

Affiant

SUBSCRIBED AND SWORN to before me this __ day of [month] [year] at [place of execution],

Philippines. Affiant/s is/are personally known to me and was/were identified by me through

competent evidence of identity as defined in the 2004 Rules on Notarial Practice (A.M. No. 02-8-13-

SC). Affiant/s exhibited to me his/her [insert type of government identification card used], with

his/her photograph and signature appearing thereon, with no. ______ and his/her Community Tax

Certificate No. _______ issued on ______ at ______.

Witness my hand and seal this ___ day of [month] [year].

NAME OF NOTARY PUBLIC

Serial No. of Commission ___________

Notary Public for ______ until _______

Roll of Attorneys No. _____

PTR No. __, [date issued], [place issued]

IBP No. __, [date issued], [place issued]

Doc. No. ___

Page No. ___

Book No. ___

Series of ____

17

Omnibus Sworn Statement

REPUBLIC OF THE PHILIPPINES )

CITY/MUNICIPALITY OF ______ ) S.S.

AFFIDAVIT

I, [Name of Affiant], of legal age, [Civil Status], [Nationality], and residing at [Address of Affiant], after

having been duly sworn in accordance with law, do hereby depose and state that:

1. Select one, delete the other:

If a sole proprietorship: I am the sole proprietor of [Name of Bidder] with office address at [address of

Bidder];

If a partnership, corporation, cooperative, or joint venture: I am the duly authorized and designated

representative of [Name of Bidder] with office address at [address of Bidder];

2. Select one, delete the other:

If a sole proprietorship: As the owner and sole proprietor of [Name of Bidder], I have full power and

authority to do, execute and perform any and all acts necessary to represent it in the bidding for [Name

of the Project] of the [Name of the Procuring Entity];

If a partnership, corporation, cooperative, or joint venture: I am granted full power and authority to do,

execute and perform any and all acts necessary and/or to represent the [Name of Bidder] in the bidding

as shown in the attached [state title of attached document showing proof of authorization (e.g., duly

notarized Secretary’s Certificate issued by the corporation or the members of the joint venture)];

3. [Name of Bidder] is not “blacklisted” or barred from bidding by the Government of the Philippines or

any of its agencies, offices, corporations, or Local Government Units, foreign government/foreign or

international financing institution whose blacklisting rules have been recognized by the Government

Procurement Policy Board;

4. Each of the documents submitted in satisfaction of the bidding requirements is an authentic copy of

the original, complete, and all statements and information provided therein are true and correct;

5. [Name of Bidder] is authorizing the Head of the Procuring Entity or its duly authorized

representative(s) to verify all the documents submitted;

6. Select one, delete the rest:

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If a sole proprietorship: I am not related to the Head of the Procuring Entity, members of the Bids and

Awards Committee (BAC), the Technical Working Group, and the BAC Secretariat, the head of the

Project Management Office or the end-user unit, and the project consultants by consanguinity or affinity

up to the third civil degree;

If a partnership or cooperative: None of the officers and members of [Name of Bidder] is related to the

Head of the Procuring Entity, members of the Bids and Awards Committee (BAC), the Technical Working

Group, and the BAC Secretariat, the head of the Project Management Office or the end-user unit, and

the project consultants by consanguinity or affinity up to the third civil degree;

If a corporation or joint venture: None of the officers, directors, and controlling stockholders of [Name

of Bidder] is related to the Head of the Procuring Entity, members of the Bids and Awards Committee

(BAC), the Technical Working Group, and the BAC Secretariat, the head of the Project Management

Office or the end-user unit, and the project consultants by consanguinity or affinity up to the third civil

degree;

7. [Name of Bidder] complies with existing labor laws and standards;

8. [Name of Bidder] is aware of and has undertaken the following responsibilities as a Bidder:

a) Carefully examine all of the Bidding Documents;

b) Acknowledge all conditions, local or otherwise, affecting the implementation of the Contract;

c) Made an estimate of the facilities available and needed for the contract to be bid, if any; and

d) Inquire or secure Supplemental/Bid Bulletin(s) issued for the [Name of the Project]; and

9. [Name of Bidder] did not give or pay directly or indirectly, any commission, amount, fee, or any form

of consideration, pecuniary or otherwise, to any person or official, personnel or representative of the

government in relation to any procurement project or activity.

IN WITNESS WHEREOF, I have hereunto set my hand this __ day of ___, 20__ at ____________,

Philippines.

______________________________________

[Bidder’s Representative/Authorized Signatory]